10D1046033 CLIA NUMBER - LUIS R CACERES DO PA

Laboratory Demographics

  • CLIA Code: 10D1046033
  • Facility Name: LUIS R CACERES DO PA
  • Facility Address: 9290 SW 72ND ST STE 103
    MIAMI, FL
    ZIP 33173
  • Facility Phone: 305 271-8383
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS R. CACERES
  • NPI Number: 1528053063
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1046033
LAB Type Physician Office
Facility Name LUIS R CACERES DO PA
Street 9290 SW 72ND ST STE 103
City MIAMI
State FL
ZIP 33173
Phone 305 271-8383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director LUIS R. CACERES

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This page was last updated on: 9/29/2025